Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology”

Vol. 9, No. 2, 2023 29.06.2023 open access Open access

Typological features of eating disorder patients: A review of publications

Daryna Levchenko

DOI https://doi.org/10.52534/msu-pp2.2023.87 Pages 87 –95 Views 1,522 Views

Abstract

Despite the fact that the development and course of various types of eating disorders, and therefore their treatment, largely depend on the typological characteristics of patients, this aspect has been understudied. The purpose of the study is to review the problem of providing psychological assistance to eating disorder patients with various typological features. Using methods of analysis, synthesis, and comparison, the paper emphasises the importance of typological features of eating disorder patients in providing psychotherapeutic care. Patients with certain personality traits, such as perfectionism, the need for control, and impulsivity, have been found to be prone to eating disorders, while these typological personality traits, along with many others, have been shown to help build treatment strategies for anorexia nervosa, compulsive overeating, and bulimia nervosa. The analysis showed that there are traits specific to certain eating disorders that can be reinforced in overcoming food addiction. The influence of personal characteristics on the choice of psychotherapy strategy and the possibility of forming psychotherapeutic relationships are covered. The importance of typological features of eating disorder patients in the provision of psychotherapeutic care is revealed. To enhance the effectiveness of selecting a psychotherapeutic care strategy and establishing psychotherapeutic relationships, this paper summarises the primary personal characteristics associated with different types of eating disorders. Attention is paid to typical behavioural manifestations in the presence of one of the types of eating disorders. The main prerequisites for the development of a personality prone to dependent behaviour are substantiated. The central perspective on the role of the family in the development of an eating disorder is established. The practical value of the study lies in the possibility of using the findings to expand the understanding of the typological features of patients with food addiction to provide effective psychotherapeutic care.

Keywords

food addiction; anorexia nervosa; bulimia nervosa; compulsive overeating; psychotherapy

References

[1] Agras, W.S., & Bohon, C. (2021). Cognitive behavioral therapy for the eating disorders. Annual Review of Clinical Psychology, 17, 417-438. doi: 10.1146/annurev-clinpsy-081219-110907.

[2] Bemporad, J.R., Beresin, E., Ratey, J.J., O’Driscoll, G., Lindem, K., & Herzog, D.B. (1992). A psychoanalytic study of eating disorders: I. A developmental profile of 67 index cases. Journal of the American Academy of Psychoanalysis, 20(4), 509-531. doi: 10.1521/jaap.1.1992.20.4.509.

[3] Biliavska, O.D, & Medynska, Yu.Ya. (2022). OPD2: Operationalized psychodynamic diagnosis based on an on-line platform. Kyiv: Psyhobook.

[4] Bruch, H. (1980). Preconditions for the development of anorexia nervosa. American Journal of Psychoanalysis, 40(2), 169-172. doi: 10.1007/BF01254810.

[5] Bulik, C.M., Blake, L., & Austin, J. (2019). Genetics of eating disorders: What the clinician needs to know. Psychiatric Clinics of North America, 42(1), 59-73. doi: 10.1016/j.psc.2018.10.007.

[6] Careaga, M.B.L., Girardi, C.E.N., & Suchecki, D. (2016). Understanding posttraumatic stress disorder through fear conditioning, extinction and reconsolidation. Neuroscience and Biobehavioral Reviews, 71, 48-57. doi: 10.1016/j.neubiorev.2016.08.023.

[7] Cassin, S.E., Buchman, D.Z., Leung, S.E., Kantarovich, K., Hawa, A., Carter, A., & Sockalingam, S. (2019). Ethical, stigma, and policy implications of food addiction: A scoping review. Nutrients, 11(4), article number 701. doi: 10.3390/nu11040710.

[8] Claudat, K., Brown, T.A., Anderson, L., Bongiorno, G., Berner, L.A., Reilly, E., Luo, T., Orloff, N., & Kaye, W.H. (2020). Correlates of co-occurring eating disorders and substance use disorders: A case for dialectical behavior therapy. Eating Disorders, 28(2), 142-156. doi: 10.1080/10640266.2020.1740913.

[9] Collantoni, E., Meneguzzo, P., Solmi, M., Tenconi, E., Manara, R., & Favaro, A. (2019). Functional connectivity patterns and the role of 5-HTTLPR polymorphism on network architecture in female patients with anorexia nervosa. Frontiers in Neuroscience, 13, article number 1056. doi: 10.3389/fnins.2019.01056.

[10] Collantoni, E., Meneguzzo, P., Tenconi, E., Manara, R., & Favaro, A. (2019b). Small-world properties of brain morphological characteristics in Anorexia Nervosa. PLoS One, 14(5), article number e0216154. doi: 10.1371/journal.pone.0216154.

[11] Gorrell, S., Loeb, K.L., & Le Grange, D. (2019). Family-based treatment of eating disorders: A narrative review. Psychiatric Clinics of North America, 42(2), 193-204. doi: 10.1016/j.psc.2019.01.004.

[12] Costandache, G.I., Munteanu, O., Salaru, A., Oroian, B., & Cozmin, M. (2023). An overview of the treatment of eating disorders in adults and adolescents: Pharmacology and psychotherapy. Postepy Psychiatrii Neurologii, 32(1), 40-48. doi: 10.5114/ppn.2023.127237.

[13] Culbert, K.M., Racine, S.E., & Klump, K.L. (2015). Research Review: What we have learned about the causes of eating disorders – a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(11), 1141-1164. doi: 10.1111/jcpp.12441.

[14] Doerr-Zegers, O., & Pelegrina-Cetran, H. (2020). Phenomenology of corporeality (and spatiality) in anorexia nervosa with a reference to the problem of its temporality. In C. Tewes, & G. Stanghellini (Eds.), Time and Body: Phenomenological and Psychopathological Approaches (pp. 263-281). Cambridge: Cambridge University Press. doi: 10.1017/9781108776660.

[15] Esposito, C.M, & Stanghellini, G. (2020). The pathogenic and therapeutic potential of the gaze of the other in the clinic of “eating disorders”. Psychopathology, 53(5-6), 291-297. doi: 10.1159/000509625.

[16] Fetahi, E., Stjerne Søgaard, A., & Sjögren, M. (2022). Estimating the effect of motivational interventions in patients with eating disorders: A systematic review and meta-analysis. Journal of Personalized Medicine, 12(4), article number 577. doi: 10.3390/jpm12040577.

[17] Fox, J.R.E., & Whittlesea, A. (2017). Accommodation of symptoms in anorexia nervosa: A qualitative study. Clinical Psychology & Psychotherapy, 24(2), 488-500. doi: 10.1002/cpp.2020.

[18] Fuchs, T. (2022). The disappearing body: Anorexia as a conflict of embodiment. Eating and Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 27, 109-117. doi: 10.1007/s40519-021-01122-7.

[19] Galmiche, M., Déchelotte, P, Lambert, G., & Tavolacci, M.P. (2019). Prevalence of eating disorders over the 2000-2018 period: A systematic literature review. American Journal of Clinical Nutrition, 109(5), 1402-1413. doi: 10.1093/ajcn/nqy342.

[20] Garfinkel, P.E, & Gamer, D.M. (1982). Anorexia nervosa: A multidimensional perspective. New York: Brunner/Mazel.

[21] Gruber, M., König, D., Holzhäuser, J., Castillo, D.M., Blüml, V., Jahn, R., Leser, C., Werneck-Rohrer, S., & Werneck, H. (2020). Parental feeding practices and the relationship with parents in female adolescents and young adults with eating disorders: A case control study. PloS One, 15(11), article number e0242518. doi: 10.1371/journal.pone.0242518.

[22] Guarda, A.S., Schreyer, C.C., Boersma, G.J., Tamashiro, K.L., & Moran, T.H. (2015). Anorexia nervosa as a motivated behavior: Relevance of anxiety, stress, fear and learning. Physiology & Behavior, 152 (Pt B), 466-472. doi: 10.1016/j.physbeh.2015.04.007.

[23] Harrison, A, Stavri, P, & Tchanturia, K. (2020). Individual and group format adjunct therapy on social emotional skills for adolescent inpatients with severe and complex eating disorders (CREST-A). Neuropsychiatrie, 35(4), 163-176. doi: 10.1007/s40211-020-00375-5.

[24] Hay, P. (2020). Current approach to eating disorders: A clinical update. Internal Medicine Journal, 50(1), 24-29. doi: 10.1111/imj.14691.

[25] Keel, P.K., Brown, T.A., Carter, L.H., & Bodell, L.P. (2012). Empirical classification of eating disorders. Annual Review of Clinical Psychology, 8(1), 381-404. doi: 10.1146/annurev-clinpsy-032511-143111.

[26] Kernberg, O.F. (2018). Commentary on the psychodynamic diagnostic manual, 2nd edition: What does the PDM-2 add to the current diagnostic panorama? Psychoanalytic Psychology, 35(3), 294-295. doi: 10.1037/pap0000208.

[27] Kovács-Tóth, B., Oláh, B., Kuritárné Szabó, I., & Túry, F. (2022). Adverse childhood experiences increase the risk for eating disorders among adolescents. Frontiers in Psychology, 13, article number 1063693. doi: 10.3389/fpsyg.2022.1063693.

[28] Kroplewski, Z., Szcześniak, M., Furmańska, J., & Gójska, A. (2019). Assessment of family functioning and eating disorders – the mediating role of self-esteem. Frontiers in Psychology, 10, article number 921. doi: 10.3389/fpsyg.2019.00921.

[29] Levinson, C.A, Hunt R.A, Keshishian, A.C, Brown, M.L., Vanzhula, I., Christian, C., Brosof, L.C., & Williams, B.M. (2021). Using individual networks to identify treatment targets for eating disorder treatment: A proof-of-concept study and initial data. Journal of Eating Disorders, 9(1), article number 147. doi: 10.1186/s40337-021-00504-7.

[30] Loxton, N.J, & Dawe, S. (2009). Personality and eating disorders. In P.J. Сorr, & G. Matthews (Eds.), The Cambridge handbook of personality psychology (pp. 687-703). Cambridge: Cambridge University Press.

[31] Malet-Karas, A., Bernard, D., Piet, E., & Bertin, E. (2022). Disordered eating as a repercussion of sexual assault: A consequence to consider. Eating and Weight Disorders, 27(6), 2095-2106. doi: 10.1007/s40519-021-01356-5.

[32] Miller, W.R., & Rose, G.S. (2009). Toward a theory of motivational interviewing. American Psychologist, 64, 527-537. doi: 10.1037/a0016830.

[33] Minuchin, S, Nichols M.P, & Lee, W.-Y. (2007). Assessing families and couples: From symptom to system. Boston: Allyn & Bacon.

[34] Miranda-Olivos, R., Agüera, Z., Granero, R., Jiménez-Murcia, S., Puig-Llobet, M., Lluch-Canut, M.T., Gearhardt, A.N., & Fernández-Aranda, F. (2023). The role of food addiction and lifetime substance use on eating disorder treatment outcomes. Nutrients, 15(13), article number 2919. doi: 10.3390/nu15132919.

[35] National Eating Disorders Association. (n.d.). Statistics & research on eating disorders. Retrieved from https://www.nationaleatingdisorders.org/statistics-research-eating-disorders.

[36] Obbarius, A., Obbarius, N., Fischer, F., Liegl, G., & Rose, M. (2018). Evaluation of factor structure and construct validity of the 12-item short version of the OPD structure questionnaire (OPD-SQS) in psychosomatic patients. Psychotherapie, Psychosomatik, Medizinische Psychologie, 69(1), 38-48. doi: 10.1055/s-0043-125394.

[37] Palmisano, G.L., Innamorati, M., Susca, G., Traetta, D., Sarracino, D., & Vanderlinden, J. (2018). Childhood traumatic experiences and dissociative phenomena in eating disorders: Level and association with the severity of binge eating symptoms. Journal of Trauma & Dissociation, 19(1), 88-107. doi: 10.1080/15299732.2017.1304490.

[38] Paris, B.J. (1997). Karen Horney’s vision of selfAmerican Journal of Psychoanalysis, 59, 157-166. 

[39] Piccinni, A., Bucchi, R., Fini, C., Vanelli, F., Mauri, M., & Stallone, T. (2020). Food addiction and psychiatric comorbidities: A review of current evidence. Eating and Weight Disorders, 26(4), 1049-1056. doi: 10.1007/s40519-020-01021-3.

[40] Polivy, J., & Herman, C.P. (2002). Causes of eating disorders. Annual Review of Psychology, 53, 187-213. doi: 10.1146/annurev.psych.53.100901.135103.

[41] Prochaska, J.O., & DiClemente, C.C. (2005). The transtheoretical approach. In J.C. Norcross, & M.R. Goldfried (Eds.), Handbook of psychotherapy integration (3rd ed.; pp. 161-210). Oxford: Oxford University Press. doi: 10.1093/medpsych/9780190690465.003.0008.

[42] Ralph-Nearman, C., Achee, M., Lapidus, R., Stewart, J.L., & Filik, R. (2019). A systematic and methodological review of attentional biases in eating disorders: Food, body, and perfectionism. Brain and Behavior, 9(12), article number e01458. doi: 10.1002/brb3.1458.

[43] Reich, G., & Cierpka, M. (1998). Identity conflicts in bulimia nervosa: Psychodynamic patterns and psychoanalytic treatment. Psychoanalytic Inquiry, 18(3), 383-402. doi: 10.1080/07351699809534199.

[44] Rohde, J., Hofmann, T., Voigt, B., Rose, M., & Obbarius, A. (2019). Measurement of personality structure by the OPD structure questionnaire can help to discriminate between subtypes of eating-disorders. Frontiers in Psychology, 10, article number 2326. doi: 10.3389/fpsyg.2019.02326.

[45] Rosania, K., & Lock, J. (2020). Family-based treatment for a preadolescent with avoidant/restrictive food intake disorder with sensory sensitivity: A case report. Frontiers in Psychiatry, 11, article number 350. doi: 10.3389/fpsyt.2020.00350.

[46] Smink, F.R.E., van Hoeken, D., & Hoek, H.W. (2013). Epidemiology, course, and outcome of eating disorders. Current Opinion in Psychiatry, 26(6), 543-548. doi: 10.1097/YCO.0b013e328365a24f.

[47] Treasure, J., Willmott, D., Ambwani, S., Cardi, V., Bryan, D.C., Rowlands, K., & Schmidt, U. (2020). Cognitive interpersonal model for anorexia nervosa revisited: The perpetuating factors that contribute to the development of the severe and enduring illness. Journal of Clinical Medicine, 9(3), article number 630. doi: 10.3390/jcm9030630.

[48] Waller, G., & Raykos, B. (2019). Behavioral interventions in the treatment of eating disorders. Psychiatric Clinics of North America, 42(2), 181-191. doi: 10.1016/j.psc.2019.01.002.

[49] Westen, D., & Harden-Fischer, J. (2001). Personality profiles in eating disorders: Rethinking the distinction between Axis I and Axis II. American Journal of Psychiatry, 158(4), 547-562. doi: 10.1176/appi.ajp.158.4.547.

[50] Westen, D., Novotny, C.M., & Thompson-Brenner, H. (2004). The empirical status of empirically supported psychotherapies: Assumptions, findings, and reporting in controlled clinical trials. Psychological Bulletin, 130(4), 631-663. doi: 10.1037/0033-2909.130.4.631.

[51] Wooldridge, T. (2022). Binge eating disorder: The subjugation of the “hungry self ”. Psychoanalytic Psychology, 39(4), 287-294. doi: 10.1037/pap0000408.

[52] World Health Organisation. (2010). Sixty-Third World Health Assembly: Resolutions and decisions annexes. Geneva: WHO.

Suggested citation

Levchenko, D. (2023). Typological features of eating disorder patients: A review of publications. Scientific Bulletin of Mukachevo State University. Series “Pedagogy and Psychology”, 9(2), 87-95. https://doi.org/10.52534/msu-pp2.2023.87